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CPG # TO: OFFICE OF REVENUE AND RECOVERY <br /> ACCOUNT TRANSMITTAL ..� c O py <br /> ACCOUNT NO. DEPT. NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> FIVE STAR AUTO DETAIL <br /> C/O NAME GUARANTOR SSN <br /> ALEX FLORES <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2560 S EL DORADO ST STOCKTON CA 95206 209-817-7396 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 2531 S. LINCOLN ST. STOCKTON CA 95206 209-817-7396 <br /> USER REFERENCE NO. BILL TAT CYCLE STATUS DATE BMd CBMd INTI MONTHLY PAY AMTn'Tr <br /> PYMT I PROB <br /> 14416 HAZMAT <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT. NO. DESCRIPTION AMOUNT HARGE DEPT. NO. DESCRIPTION AMOUNT <br /> Kin <br /> 230 026000.0 2006 - 2010 Hazmat Fee $425.00 <br /> Hazmat Penalty Fee $42.50 <br /> till ] 11 <br /> TOTAL $467.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FIVE STAR AUTO DETAIL 209-817-7396 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2560 S ELDORADO ST STOCKTON CA 95206 <br /> S-P9499 CO-OWNER <br /> AST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> I I I <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> FIVE STAR AUTO DETAIL 209-817-7396 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 2560 S EL DORADO STS OCKT CA 95206 <br /> REPARED BY CHECKED BY DATE a-� % O GOL. zo (9re61 <br />